Joint Injections

FAQ’s on Joint Injections (Sacroiliac, Knee, Hip, Shoulder Joints)

What are joint injections?

Joint injections are techniques that can be used to relieve symptoms of pain that are secondary to the irritation and inflammation of the joints and surrounding tissues. This technique usually involves the injection of a powerful anti-inflammatory medication, such as a steroid, into the affected area.

While this therapy can relieve symptoms on its own, it can also be integrated into a physical therapy and rehabilitation program.

What conditions can benefit from joint injections?

Conditions that are inflammatory in nature benefit the most from joint injections of Joint Injection Orange County CAsteroids. inflammation.Steroids are effective anti-inflammatory drugs that inhibit the inflammatory response in the affected area. This reduces the swelling, pain and tenderness that accompany the inflammation.

These conditions include, but are not limited to:

Your physician is the best person to make the recommendation of joint injections. This is done after a complete medical history and physical examination. Additional imaging studies, such as Computerized Tomography (CT) scans and Magnetic Resonance Imaging (MRI) scans, may also be requested.

How is the procedure done?

Prior to the actual operation, you will be asked to give your informed consent. The procedure will be explained to you, and you will be asked to give a complete medical history to rule out conditions that may contraindicate the procedure.

The procedure is usually done under local anesthetic, so you may be awake throughout. You may be given a mild sedative to help you relax. The sterile technique is employed for joint injections: the injection site will be scrubbed with an antiseptic solution, and the surrounding area will be draped with sterile linen.

The procedure begins with the insertion of the needle through the skin and muscles and into the affected area. The accuracy of the needle is ensured through guidance under fluoroscopy (X-ray) imaging, although other methods of guidance have emerged, such as Computerized Tomography (CT) scans, Magnetic Resonance Imaging (MRI) scans, and ultrasonography.

When the end of the needle is near the affected area, an initial dose of local anesthetic (usually Lidocaine) is injected. You may be asked to perform movements of the affected joint that normally trigger pain.

If your symptoms are relieved, then the corticosteroid (which provides longer lasting pain relief, although it takes longer to take effect) will be injected near the affected area.

After the needle is withdrawn, you will be observed for around 20 minutes before being sent to the recovery room. If there are no complications, and the procedure is well tolerated, you may be sent home within the day.

What are the success rates of this procedure?

This procedure is well tolerated, and majority of patients will experience relief of symptoms after procedure. The exact success rates will vary, depending on the joint involved, and the severity of the case, so it will be best for you to discuss the treatment options with your physician.

While adverse outcomes are rare, you should always remain aware of the risks involved. The procedure carries with it a risk of infection, pain and tenderness at the injection site, intraoperative damage to muscles, nerves and tissues, and blood loss.

References

Zacchino M, Almolla J, Canepari E, Merico V, Calliada F. Use of ultrasound-magnetic resonance image fusion to guide sacroiliac joint injections: a preliminary assessment. J Ultrasound. 2013;16(3):111-8. doi: 10.1007/s40477-013-0028-7.

Choi WD, Cho DH, Hong YH, Noh JH, Lee ZI, Byun SD. Effects of subacromial bursa injection with corticosteroid and hyaluronidase according to dosage. Ann Rehabil Med. 2013;37(5):668-74. doi: 10.5535/arm.2013.37.5.668.

Trigkilidas D, Anand A. The effectiveness of hyaluronic acid intra-articular injections in managing osteoarthritic knee pain. Ann R Coll Surg Engl. 2013;95(8):545-51. doi: 10.1308/003588413X13629960049432.

Trigkilidas D, Anand A. The effectiveness of hyaluronic acid intra-articular injections in managing osteoarthritic knee pain. Ann R Coll Surg Engl. 2013;95(8):545-51. doi: 10.1308/003588413X13629960049432.

Manchikanti L, Cash KA, McManus CD, Pampati V, Benyamin RM. A randomized, double-blind, active-controlled trial of fluoroscopic lumbar interlaminar epidural injections in chronic axial or discogenic low back pain: results of 2-year follow-up. Pain Physician.2013;16(5):E491-504.